AR Analyst (US healthcare)

Job Description

• Review and analyze denied claims, identifying root causes and trends in denials
• Research payer-specific denial reasons and ensure accurate coding and documentation practices
• Work with internal teams (e.g., billing, coding, and clinical staff) to correct errors and resolve denials
• Collaborate with insurance payers to resolve issues and appeal denials when appropriate
• Maintain accurate records of denied claims, appeals, and outcomes for tracking purposes
• Maintaining a TAT of 48hrs to address the denials that are captured in the denial log
• Keep track of the denials that are assigned to the various departments and ensure timely competition
• Escalate the denials that are pending (exceeding TAT) with other departments to the GC/TL
• Working on Global denials towards resolution and notifying the Lead, Managers on the same via email or other channels for effective tracking and implementing preventive measures
• Minimizing Denial Aging by prioritizing older claims and working them towards resolutions with minimum actions / steps
• Reaching out to insurance via call if required to find a solution or update
• Participate in team meetings and voice out the issues / updates in their respective projects for quicker resolution and disseminating the ideas with the team
• Collaborating with team members to share the recent trends, ideas, work flow update, practice updates, thereby fostering a healthy work environment
• Maintain 100 % quality on a daily basis
• Collaborate with the QCA and complete the reworks, if any, in a timely fashion
• Incorporate feedback from the Quality team into your daily practice to ensure you do not repeat previously identified mistakes
• Adhere to company policies, insurance payer guidelines, and industry regulations when resolving denials and handling sensitive information
• Maintain confidentiality of all patient and claim data in compliance with HIPAA and other regulatory standards

Job Type: Full-time

Pay: ₹15,000.00 - ₹28,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Ability to commute/relocate:

• Tanjor, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

• Notice period

Location:

• Tanjor, Tamil Nadu (Preferred)

Shift availability:

• Day Shift (Preferred)

Work Location: In person